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Background on Albania Former Communist Country (extreme isolationist form) with traditionally highly centralized government structures Changed government in early 1990s Approximately 3.5 million people 10,579 miles², $1,000 GNP/capita, and $63 GNP/capita spent on health expenditures

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Advantages of Decentralization Albania has moved beyond an exclusively vertical structure Decentralization has encouraged better governance throughout Albania, especially within the Ministries of Finance and Local Government Greater interest by health care providers in participating in decision-making